Socioeconomic status and equity among patients with cardiogenic shock
López-Sobrino, Teresa (Hospital Clínic i Provincial de Barcelona)
Ariza-Solé, Albert (Hospital Universitari de Bellvitge)
Sanz-Girgas, Esther (Institut Investigació Sanitaria Pere Virgili)
Aboal, Jaime (Hospital Universitari de Girona Doctor Josep Trueta)
Pastor, Pablo (Hospital Arnau Vilanova)
Buera Surribas, Irene (Hospital Universitari Vall d'Hebron)
Sionis, Alessandro (Institut de Recerca Sant Pau)
Andrea-Riba, Rut (Hospital Clínic i Provincial de Barcelona)
Rodríguez-López, Judit (Institut Investigació Sanitaria Pere Virgili)
Tomas, Carlos (Hospital Arnau Vilanova)
Bañeras, Jordi (Hospital Universitari Vall d'Hebron)
Llaó, Isaac (Hospital Universitari de Bellvitge)
Garcia Garcia, Cosme (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Marcos-Mangas, Marta (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Rueda-Sobella, Ferran (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Sánchez Salado, José Carlos (Hospital Universitari de Bellvitge)
Universitat Autònoma de Barcelona. Departament de Medicina

Fecha:	2025
Resumen:	Background: We aimed to analyze the impact of socioeconomic status (SES) on management and in-hospital outcomes of patients with cardiogenic shock (CS). Methods: This was a prospective observational registry conducted (December 2018-November 2019) in Intensive Cardiac Care Units (ICCU) across 8 tertiary care centers. Consecutive patients aged ≥18 years with a primary diagnosis of cardiogenic shock were included. SES was defined using a numerical index that incorporates mean income levels, premature mortality, and avoidable hospitalizations observed within a specific health area. SES values were categorized into tertiles. In-hospital procedures, complications, length of stay, and in-hospital mortality were collected. Results: A total of 382 patients were included (mean age: 65. 3 years). There were no differences in age, sex, or major comorbidities across SES groups. CS was more frequently due to acute coronary syndrome (ACS) in patients with low SES (66. 9% vs. 58%, p = 0. 022). No significant differences were observed regarding SCAI stage or other severity markers of CS across SES groups. Patients with low SES were more likely to receive pulmonary artery catheterization (p = 0. 029) and mechanical circulatory support (p = 0. 038). After adjusting for potential confounders, clinical management was similar regardless SES. Lower SES patients exhibited a higher incidence of bleeding (p = 0. 018). There were no differences in length of stay or in-hospital mortality among SES groups. Conclusions: Beyond a higher rate of ACS-related CS, patients with low SES exhibited a clinical profile and shock severity comparable to other SES groups. Therapeutic management aligned with guideline recommendations even in patients with low SES.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	cardiogenic shock ; intensive cardiac care units ; intensive care management ; mortality ; socioeconomic status
Publicado en:	Frontiers in Cardiovascular Medicine, Vol. 12 (2025) , art. 1597225, ISSN 2297-055X

DOI: 10.3389/fcvm.2025.1597225
PMID: 40994919

8 p, 549.0 KB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
Artículos > Artículos de investigación
Artículos > Artículos publicados